Development and Implementation of an Earlier Refeeding after Necrotizing Enterocolitis (NEC) Guideline for Non-Surgical NEC

Ekta M. Patel, A. Lesher, R. Ryan
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Abstract

Background: For infants with NEC treated non-surgically, there is no consensus for when to re-initiate enteral feeds after NEC. In a previous meta-analysis, earlier refeeding (4-7 days after diagnosis of NEC) suggested a decreased incidence of the combined adverse outcome (NEC recurrence or stricture) and possible other benefits. Based on this analysis, we implemented a standardized guideline for non-surgical NEC through a consensus survey of key stakeholders involved in the decision to start refeeding at our institution. We aimed to implement and monitor a multidisciplinary clinical consensus guideline to …
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坏死性小肠结肠炎(NEC)非手术治疗指南的制定和实施
背景:对于非手术治疗的NEC婴儿,对于NEC后何时重新开始肠内喂养尚无共识。在之前的荟萃分析中,早期再喂养(NEC诊断后4-7天)表明联合不良结局(NEC复发或狭窄)的发生率降低,并可能带来其他益处。基于这一分析,我们通过对参与决定在我们机构开始再喂养的关键利益相关者的共识调查,实施了非手术NEC的标准化指南。我们的目标是实施和监测多学科临床共识指南…
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